Convenient Care Clinic, Pllc | |
3040 Goodman Rd West Horn Lake MS 38637-2474 | |
(662) 578-2030 | |
(615) 301-6550 |
Full Name | Convenient Care Clinic, Pllc |
---|---|
Speciality | Clinic/Center |
Location | 3040 Goodman Rd West, Horn Lake, Mississippi |
Authorized Official Name and Position | Kelli Jones (DIR OF REVENUE) |
Authorized Official Contact | 6158648713 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Convenient Care Clinic, Pllc 30 Burton Hills Blvd Suite 175 Nashville TN 37215-6403 Ph: (615) 864-8713 | Convenient Care Clinic, Pllc 3040 Goodman Rd West Horn Lake MS 38637-2474 Ph: (662) 578-2030 |
NPI Number | 1851490841 |
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Provider Enumeration Date | 09/22/2006 |
Last Update Date | 10/24/2022 |
Medicare PECOS PAC ID | 1052587284 |
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Medicare Enrollment ID | O20120110000278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851490841 | NPI | - | NPPES |
09015109 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Kay K Coggins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902904584 PECOS PAC ID: 1759346315 Enrollment ID: I20041124000351 |
Provider Name | Linda L Troy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194745638 PECOS PAC ID: 5991763666 Enrollment ID: I20041228000522 |
Provider Name | Chastity A Barnette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447400064 PECOS PAC ID: 3577757947 Enrollment ID: I20101029000458 |
Provider Name | Edwin L Linder |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679652408 PECOS PAC ID: 9830236793 Enrollment ID: I20101215001138 |
Provider Name | Vanita M Phinisey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518254580 PECOS PAC ID: 2567631773 Enrollment ID: I20110804000231 |
Provider Name | Emerson A Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336251560 PECOS PAC ID: 2769480508 Enrollment ID: I20120208000525 |
Provider Name | Brenda K Higgins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285988154 PECOS PAC ID: 6406086297 Enrollment ID: I20140221001353 |
Provider Name | Kori Swearengen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093139214 PECOS PAC ID: 2769614379 Enrollment ID: I20140414001986 |
Provider Name | Lisa Carol Tomlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073519260 PECOS PAC ID: 8022097534 Enrollment ID: I20150701002151 |
Provider Name | Chastity Heath |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003205857 PECOS PAC ID: 6204153216 Enrollment ID: I20150804003508 |
Provider Name | Aaron A Amos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003059874 PECOS PAC ID: 7214085729 Enrollment ID: I20150825004101 |
Provider Name | Meredith Patton Hartline |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114111978 PECOS PAC ID: 3375600273 Enrollment ID: I20151005001334 |
Provider Name | Christopher Lee Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871985564 PECOS PAC ID: 5698096360 Enrollment ID: I20160405000061 |
Provider Name | Lindsay Stegall Nixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609236900 PECOS PAC ID: 4385932235 Enrollment ID: I20161130000906 |
Provider Name | Alexandra Claire Banker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902323611 PECOS PAC ID: 7214282433 Enrollment ID: I20180612001462 |
Provider Name | Emily E Garrett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972070548 PECOS PAC ID: 5799023511 Enrollment ID: I20190220001677 |
Provider Name | Tina Gail Bryan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760969208 PECOS PAC ID: 0941549778 Enrollment ID: I20190222000371 |
Provider Name | Amanda Blount Ermis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760670392 PECOS PAC ID: 4587688031 Enrollment ID: I20190326002869 |
Provider Name | Paul F Nixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750922209 PECOS PAC ID: 8729417613 Enrollment ID: I20200327001021 |
Provider Name | Tiffine Lynn Prisock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457967226 PECOS PAC ID: 5799195897 Enrollment ID: I20201030001465 |
Provider Name | Tonya M Crawford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568138832 PECOS PAC ID: 0244638112 Enrollment ID: I20211006002598 |
Provider Name | Kayley Huffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548938764 PECOS PAC ID: 1355749003 Enrollment ID: I20211011000129 |
Provider Name | Alexandria Shaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396254561 PECOS PAC ID: 0648546077 Enrollment ID: I20211105000911 |
Provider Name | Kishana R Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881181634 PECOS PAC ID: 4880932383 Enrollment ID: I20211209000687 |
Provider Name | Donnielle Y Carney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104497932 PECOS PAC ID: 0547658288 Enrollment ID: I20220322001501 |
Southern Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6426 Highway 51 N, Horn Lake, MS 38637 Phone: 662-342-4080 Fax: 662-342-4933 | |
Newsom Healthcare Of Desoto County, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2906 Goodman Rd W, Suite 109, Horn Lake, MS 38637 Phone: 662-393-8022 Fax: 662-393-8052 | |
Horn Lake Chiropractic Centre, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-342-5368 Fax: 662-342-7980 | |
Superior Health And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2085 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-253-8459 Fax: 662-253-8678 | |
Horn Lake Family Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3102 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-342-6677 Fax: 662-342-1213 | |
Comprehensive Family Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3040 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-280-3428 Fax: 662-280-1736 |